HomeMy WebLinkAbout17-18130 CITY OF ZEPHYRHILLS
5335-8th Street 18130
" ' (813)780-0020
ELECTRICAL PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit#:18130 Issued: 2/08/2017 Address: 5053 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 275.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 2/08/2017 Parcel Number: 11-26-21-0010-19100-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: EAST 54 MINI STORAGE INC
Addr: 39111 PATTI RD Address: 38461 CR 54
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc: ELECTRICAL(9 ELECTRICAL OX & 18 DEVICES) "
APPL �ATI � N FEES
ELECTRICAL FEE 40.00
/ �
� INSPECTIONS REQ IRED
ROUGH ELECTRIC --�'"�� ��.� � � V�tr �,OIr1� � S�er-��C�
CONSTRUCTION POLE _` 5� I
PRE-METER � US'� �r` ''� � ' - l.�L�"� �GCI�'L'� CA1n G1 � '� Ct���' �I
FINAL "
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REINSPECTION FEES:(c)With respect to einspectio fees will comply with Florida Statute 553.80 (c)the
local government shall impose a fee4of fo times th amount of the fee imposed for the initial inspection or
first reinspection,whichever� e ,for each such subsequent reinspection.
NOTICE: In addition to the -�Guirements f this permit, there may be additional restrictions applicable to this property that
may be found in the public reca�of this�county, and there may be additional permits required from other governmeni�al �
entities s h as w ter management, state agencies or federal agencies. i �
"Warning to owner: Your failure to r cor a notice of commencement may result in your paying twice for �
improvements to your property. If you� te d to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perFormed in accordance with City I
Codes and Ordinances. �
CONTRACTOR PER OFFI '
PERMIT EXPIRES IN 6 MONTHS WITHOUT 14PPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8th Street
' ' ' ' • (813)780-0020 18130
', ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18130 � Issued: 2/08/2017 Address: 5053 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 275.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 2/08/2017 Parcel Number: 11-26-21-0010-19100-0020
CONTRACTOR INFORMATION OWNER INFORMATION
� Name: PATTIE ELEC. & REFRIGERATION Name: EAST 54 MINI STORAGE INC
Addr: 39111 PATTI RD Address: 38461 CR 54
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc: ELECTRICAL(9 ELECTRICAL BOXES & 18 DEVICES)
AP t ATION FEES
ELECTRICAL FEE 40.00
I �
, I PEC ION REQUIRED
ROUGH ELECTRIC
� CONSTRUCTION POLE / '
� PRE-METER �
FINAL
� �
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
�/ � 7
�.,t� Gi%��fi�J
.�t�l- �
,// CONTRACTOR PER OFFI
✓ PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saao-oo2o City of Zephyrhills Permit Application Fau-813-780-0021
-- Building Department
Date�Re`ceivec� I�j ��� _ 3 ��
Phone Contact for Permitting , •
Owner's Name C�.�'�� /�7!�U/ �7���'n. � Owner Phone Number
Owner's Address Owner Phone Number �
Fee Simple Titleholder.Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �O_✓ l( � �� LOT# �
SUBDIVISION PARCEL ID# t � '1=U�� — (/O!(/ � ��O � �-'�/��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � ,. NEW CONSTR ADD/ALT �C� SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROP.,OSED USE Q SFR Q COMM Q OTHER .
TYPE"OF CONSTRUCTION Q BLOCK •• Q FRAME Q STEEL Q "
DESCRIPTIOId OF WORK � . OZ, �� � � �
BUILDING=SIZE SQ FOOTAGE� HEIGHT •
OBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�LECTRICAL $ AMP SERVICE Q PROGRESS'ENERGY Q W.R.E.C.
. . .
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
-BUILDER COAlIPA1dY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address �License#
_. ... _ r' i �� Gy`
ELECTRI,CI.AN r: ;' • COMPANY �
�SIGNATURE REGISTERED ^ Y/ N-`� FEE'CURRE� /
_ . .�
n.�,, Q<
Address� '�' � � License:#' G° (�[v��� (/
, .
PLUMBER.;;_, COMPANY-�, � � � '
-SIGNAl'URE � -���sTEReo ; � .Y.•/'N.;- � FEE CURRE� Y/N
Ad'dress ,•L(cense#� :
`�".MECHi4NICAL� � COiNPANY
�- , , . _
';":SIGNATURE''-`` ' `' '` ' ' - REGISTERED ; Y./.N. a FEE CURRE� Y/N � _ �
�� S�:E" . , . '
Ad'dress��' �' � � ' � " Licens,e.# —1� �
'-4',��C. ._. ... . - - . - . .. . � � '
�
-�OTHER:.:;;".} „'� ' � . � � �COMPANY
�;'::SIGNATURE:-:,-i� .� _ � � �, ��REGISTERED Y/ N. - �FEE CURREK Y/N.�- :
- .._r;'.:;,,N�:,.,;_,:<' � _:s� ,. : .� .- ' - - >-. . , � � � � - _
- •�Address.�- _ - - .:��- - ' � -� � - _ . License# -
_ '' - pR�,�:;�;' _ ._. __ , , ., . ,. ,
�D = - , .
ARESI ENTIAL'� A� FFf'
. , �„ �_. ttacfi'`,2 ot'P.lans;-'�,2 sefs�of.'Buildin '�Rlans;;1��`set of'Ene�� ;For'ms;°R;O;VU-Permit.for new.construcUon;. _ , -
-- � . . ,�) �,.) _ ,9 �,).:^.., r9Y., - - _ - .
\�;, , - ,�,:,•.:f._`-� 'aMinimum:ten;�1U...woikin;da s:afte�su6mittal:date:"Re uired`onsite;.Constniction Plans;Sformwa'ter'Plans w/�SiltFence:installed,
. .r. . .y> � ,.) 9 _X q .a, ,
: - , . r . " - ` - -
- Sar�i �Facili i s•' ,�-1 d 'm 'Si e:VV P .
ta� te ,&�� u ster� t �. o[k. ermit:for4subiiivisionsllar e` r`o'ects`� � � „
�
- !Y...� . P. ,_. ...... ..., ,,.. . _ 9.P J.., ,. -: � .
.,.._�._:�..v:�;... . .
;�>,COMMERGIAL 'Attaah:(2)xomplete;sets of:Building.,Plans:plus�a Li'fe S,afety,Fage;.(1)set of Energy;Forms.�R-O=.W Permit:for new constniction.; '
_"�`tt_;, Mlnimum.ten.(10)'w'o�king days;after:submittal d.a,te:�.Required onsite,.Cqnstiuction Plans;�Stormwaten'Plans w/.Silt Fence-in'stalled,. ; . - �-,
. ,.� ., ,
�;_ ' _ - -•San(tary�Facilities:���1'.dumpste"r:�;Site;VVork.P.emiit:fo�!all=new;projeots.i411:commerciaLrequirements:mu§t;meet compllance �
�:=:SIGN�.PERMIT� -:'Atfaoh�(2)sets'of•;Engineered.P;lans::�';..�,.:�����- � , . ' � ,� • - - ,
�'� " � �°""PROPERTY SURVEY;�equi�ed.fo'r:aII�.NEW'construction... - _ , , . " --
_ - - - �$ - -- =
.-Dlrections: � .. . �•. - .:,d�,;:: . ' , � . . ' . � . :_ ,.
" �Fill:out'aPPlication�.completely:.`,,-,_ ,'.� �, - ..� � ,
,;: � . , .-
Ouuner&�Contra�to�'sign.tia'ck:ofiapplication,.notarized- � " ',,;� � '
� ; , If over$2500;.a Notice:of,Commencement is-required.�°(AlGupgrades;over"$7500) = -
�'"N t.1'.::....,��i"..::� .. . ' . -� '_'. . .- ;.. .. � .. . -..' `y..,'�,_
,Agent�(for`;Fi'e'cont�actor)�.or:Powertof'Attorney(for�ttie owneh),would�tie someone.with:notariiediletterfrom ownerauthorizing same
t.�OVER:>THE COUNTER;.P:,,ERAAII'TING.'._., ,(copy,of-contract�,requireii):;�� ' �`� � • � -
-"�=Re�oofs if stiingles: . �"Sewers � ,;_:Senrlce',Upgrade"s.'.�A1C" �Fences;.(PIoUSurvey/Footage),� " - '�
: ,� �; . ....:�.':=w'r.-....,�a.d.`.._:_oas:.::..:w-...•-�:u�:.:b..'��:l,.i:j:. �-�-. , . . . _ - "_ . .�
� ,Drlveways-NofoverCounter-�ifion:pUblic�roadways.;n'eedsROW:,. ' ,
.. - � - ' .� ',. ,`., �,..�U•..�.:;E�:;�_•hr;r':t):', � . . � , _ , i
'�::. _ �,. ,i, '� i';fifi�'�:";i'i:.'{'.�F,:. �c ' . �. . ..
i, , . _:- . .`;r•�v.i�_, . - ..G��:F'D:i,."��i�c'.•i . ..... ^ , ' ' .. ,,.�i.��'t
,t; _ • .. .. -. . ,,�__„ y,. ..a r . - .,_. ,s �_�: '• ' � .�•� �+4
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NOTICE OF bEEO REST,RICTION3: The unders�igned.understands,,that;#his-permit may,be subject.to"deed"=resf'r'ictipn's":.�}�;{
whach�:may�be.more�restrictive:�than"Coun#y.r.egulations::�TFi�e�un�ersig'ined•assumes�:fiesponsi�itrty for compliance"vinth ariy 4 �
applicable deed restrictions. � ` " '-'���,.�"' �
�<�..>�::t..,: �a���
UNLICENSED•CONTRACTORS ANI?" Ct?NTRAGTOR RESP:ONSlBILITIES: If-tFie�o�tiri=ier�nhas�hirect-�a�,�contractor or �{*
contractorstto undertake work, they�may.be reguired to be�licensed in accordance,with.state;andYlocal�,r.egulations���`If��,the,�:���:�
contractor is not Qcensed•as requiretl�tiy�law, both:�the ouimer'.and'canfractor�►riay�be�cited-'for�a:�misdetiteanor violatfon- ��
under state law. If fhe owner or intended, cantractor are unaertain as to what licensing requirements:�may;�appiy.�for;:;tt►e��;�rv:;�
. ..�,..,_.;t.,,.,., :..�;...... . �.,_�:.. �
intended war>k, they�are�advised to confacY�he'Pasco County Buildin}g Inspec"fion;.D'ivision:-Licensing Section at 727=847- ;
8009. -Fur#herrnore, i� the owrier has°hired`a carit�actor ar cantractors, he�is advised to`�thave. #he;,cantractor{s.):�sigrt,���;.b:;h
portions of the "cantractor Block"of this application for which.they wiil be resp.onsible.-:If.-.yau,_as"ttie''�owner sign:as;-tfie�y=�°?;F
contractoc, that may be an indlcation�that-he is nat properly licensed�and"is riot entitted ta permitting privileges_:In:Fasco_;,.:.,;;�
t/V�I1�. ,_ . .. ... f• .. .��?.}.'�',':'t.. �
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TRANSPORTATION-IMPACTIUTILITIES�IMPACT AND RESOURCE RECOVERY"FEES: The'undersigned understands.- �� .,��,
, .,.��-r..�.,:.-s� .:3
that TransportatPan Impact Fees and Recourse Recovery Fees=may:�pply to,_the.construc#ion of.:new.buiiilings,�cF�ange;;of•�<�;'���;
use in existing buildings,,•or•expansion of;:existing buildings, as specified in Pasca Counfy Ordinance number 89=QT'and. :�;:;;��
9Q-07, as amencled. The-undersigned also unders#ands, tl�at sucl�..fees, as�r�ay�b.e;due, uvil.i"be;ider�tified��a�#�iek�tirnie�raf��:;'�:=,,:,
permitting: °I# is further understood that Transportation impac#fees and Resource`�Recovery Fees�must be paid prior to. `;;
receiving.a "certificate of occupancy° or final,power release. If,the project dqes not�involve.a�certificate Qf oc.cupancy:.oi-�>i-=','
final,power releas.e, the•;fees:must be.paid prior#o permi# issuance.':Furthermare,.if.Pasca�County W,,ater/Sewer,-lmp;act::,�-- �
fees are due, they.must.be.paid prior to p,ermit issuance in accordance�with applicable P'asco'Cou'nty o�dinances. �''
CONSTRUCTION �IEN�GAW{Chapter 713,�Florida Statutes,as amended}: If valuatian of wor,k is�$2,5QO.O.O.or;t�or;e;�1,�;;..< ;.
certify that 'I the a licant, have been rovided with a co ' � � '"��� �
, pp p py,,of the "Florida Construetion.;Lien .Law--=Homeowner's
Protection Guide° prepared by the Florida Department af Agriculture and Consumer.Affairs. ff the applicant��s,s.omeane :,,
ather than the"owner",:i.eertify that I..have obtained a copy of the above"desc'ribed`�document and promise�in;goa,d faith�fo.','�,,.
deliver,it.to.the=".owner"::qriocfo:commencement. �� ' ' �
GONTRACTtJR'S101NNER'S AF�IDAVIT:, I.certify.that al(the �n#acmation in t#�is application is accurate and"tha#ai�work
will be done in compliance with all applicable laws regulating construction, zoning and land-develapment. Application,is
hereby made to obtain .a _permit to da,uwork antf installation.as -indicated. 1 asrfify that no �work or�irrstalla#iait=°has �
commenced prior to issuance of a permit and=that all work will be performed ta..meet standards of all laws regulating �
constructEon, County and Gity codes, zoning regulations, and land develapment'regufatibns'iri':the jurisdictiort. �!:aiso
certify that t understand that#he regulations of other government agencies may appiy ta the intended work, and that it is ��
my responsibility#o identify what actions I must take to be in compliance. Such,agencies include but are not limited.to:
- :�Department of Environmental:.Protec#ion-Cypress SayFieacls�Wetland Areas and Environmen#ally Sensitive �
Lands,VVater/Wastewater Treatment. {
- Southuvest Florida Water Management District Wells, Cypress Bayheads, Wettand Areas, Altering �
Watercaurses. '�
- Army Corps of Engineers-Seawalls, Docks, Navigable VUat�rways.
- Depar#menf of Health & .Refiabilitative Services/Enviranmental ktealth .Unit Wells, W.astewa#er 'freatment, ,
Septic.Tanks: � �
- US Environmerital Protection Agency-Asbes#os abaternent. ,�_�.
- Federal Aviation�Authority-Runways. � .
! understand that�:the,follawing.:restricfions apply to the use of fi11:
- Use af fiit is not atlawed in.Flood Zone"V"untess expressiy permifted.
- If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensating volume"vtrill be submitted a#time af permitting which is prepared by a prafessional engineer --
liceosed by the State of Florida. -
- If the fiii material is ta be used in Fiaod Zone "A° in connection with a permitted buiiding using s#em wall
construction, t certify fhaf fill wi�l be used only#o fill the area within the.stem wall. °
- If fill� material is to be used in any area, I certify that use of suah"fill will not adversely a�Fect adjacent
praperties. If use cif filt is found fa adverseiy affeat adjacent pfoperties, the owner may be cited for violating '
the conditions of the building permit issued under the attached permi#.application, for lots less than one (1) `
acre which are elevated by fll, an engineered drainage pEan is requited.
If I am the AGENT FOR THE OWNER; I promise in good faith#o inform the owner of.the permitting candi#ions set forth in �
this affidavit p�ior to commencing construction. I understand khat a separate permit may be required for electricai work,. ;
plumbing, signs, wetls, pools, air conditianing, gas, or atFier installations not specifically included in the applica#ion: A, :
permit issued shall`be construed to'be a license to proceed wi#h the work and not as authority to violate, cancel, alter, or "
set aside any provisions of the technicaE codes, nar sha11 issuattce af a permit prevent the Building Officia!fram t3�eceafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work aufhorized by such permit is commenced withfn six months of permit issuance, or if work au#horized by '
#he permit is suspended or abandoned-for a period..of.six(6) months after the time the work i��commenced. An eactensian '
may be requested, in�writing, from the Building Official for a period nat to exceed ninety(90) days and will demons#rate
justifiabie cause f6r the extensian. If wark ceases for ninety{90)consecutive days,the jab is considered abandoned. '
WARNING TQ QWNER: YOUR,FAt�URE TO RECORD..A.NfJT,tCE OF COMMENCEMENT.MAY RESUGT IN'YOUR
� PAYING TWICE`'FOR IMPR�1/EMENT$.;'�O YOUR:PROPERTY.;IF YOU}INTENDnTO-OBTAIN'FINANCING, CQNSULT
WITH YOUR"I:ENDER OR AN�ATTORNEY BEFORE RECORDlNG YQUR NOTIGE'OF�GQN! ENCEMENT: — -- - = -
FL.ORtDA JURAT(F..S.'!17.03)�. _ .,��.._—�..- ________ - � - •- - .,�
-- --- — . _ �/,�
OWNER OR AGENT GQNTRACTOR 'b��
Subscribed and swam to(or a�irrned}before me thts Subscribed and swam ta'arjaffig��t}be ,.�ne t '
�Y (���S—I rl by / ! J ►'t�! �H'! �
Who Is/are persanally known to me or haslhave produced Who ar onall fim to me or haslhave produasd
as iden�ficatlan. (���1�����,��� as Identificatian. _
Notary' Public Notary Public
Commission No. Commission No. �
C.! /
Name af Natary typed,ptinted or stamped Name af Notary type , a
�,�P;;�.. D � lA1NE RUFFELL
- ��' �„�Commission#GG 045343
;�;,�ar:�pires Navember 7.2420
'•'•;�,F���P•'� gondedlluvT�oyfainlnsurance8Da385-TOf9,,